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When Caring for a Patient Who Has Had a Head

Question 27

Multiple Choice

When caring for a patient who has had a head injury, which assessment information requires the most rapid action by the nurse?


A) The patient is more difficult to arouse.
B) The patient's pulse is slightly irregular.
C) The patient's blood pressure increases from 120/54 to 136/62 mm Hg.
D) The patient complains of a headache at pain level 5 of a 10-point scale.

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